Informative application of the instrumental diagnosis of scar integrity in the experimental model of the uterine cavity
- 作者: Alekseeva A.Y.1, Mochalova M.N.2
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隶属关系:
- Chita State Medical Academy of the Ministry of Health of the Russian Federation
- Chita State Medical Academy of the Ministry of Healthcare of the Russian Federation
- 期: 卷 69, 编号 6 (2020)
- 页面: 17-22
- 栏目: Original Research
- ##submission.dateSubmitted##: 05.08.2020
- ##submission.dateAccepted##: 17.08.2020
- ##submission.datePublished##: 25.01.2021
- URL: https://journals.eco-vector.com/jowd/article/view/42267
- DOI: https://doi.org/10.17816/JOWD69617-22
- ID: 42267
如何引用文章
详细
Currently, the frequency of deliveries by cesarean section is steadily increasing. Independent childbirth in women with a uterine scar is one of the mechanisms of its reduction. Meanwhile, the delivery of this category of patients through the natural birth canal requires the development of a safe and effective method for assessing scar integrity in the early postpartum period. For this purpose, a new instrumental diagnostics method has been developed, with its information content compared to manual examination data in an experimental model of the uterus. Each model was made of a bovine heart and had three defects with diameters less than 0.5 cm, 0.5-0.8 cm and 0.8-1.2 cm. Defects with diameters less than 0.5 cm were not detected by any of the methods studied. Defects with a diameter of 0.5-0.8 cm were detected using the developed device in 90 % (45/50) of cases and using manual examination in 44 % (22/50) of cases (χ2 = 23.93, p < 0.001), defects with a diameter of 0.8-1.2 cm being detected in 100% (50/50) and 98% (49/50) of cases, respectively (χ2 = 1.01, p = 0.32). The information content of the instrumental model exceeds that of the manual study by 1.34 times (RR = 1.34, 95 % CI 1.09-1.65, p < 0.05). Therefore, the possibility of testing this device in clinical trials needs to be considered.
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作者简介
Anastasia Alekseeva
Chita State Medical Academy of the Ministry of Health of the Russian Federation
编辑信件的主要联系方式.
Email: mironenkoanastasia4@gmail.ru
ORCID iD: 0000-0001-5061-8026
Assistant. The Department of Obstetrics and Gynecology, the Medical and Dental Faculties
俄罗斯联邦, ChitaMarina Mochalova
Chita State Medical Academy of the Ministry of Healthcare of the Russian Federation
Email: marina.mochalova@gmail.com
ORCID iD: 0000-0002-5941-0181
MD, PhD, Associate Professor, Head of the Department of Obstetrics and Gynecology
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补充文件
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